Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.88 / $52.48	Professional		$25.12	$33.88	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $38.02	Facility		$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $95.50	Professional		$28.18	$28.18	$95.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $97.72	Professional		$51.29	$64.57	$97.72
Providence Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $46.77 / $70.79	Facility		$18.62	$46.77	$70.79
Providence Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $75.86	Professional		$28.18	$28.18	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $31.62 / $77.62	Facility		$21.88	$31.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $28.84 / $43.65	Professional		$26.30	$28.84	$43.65